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In the United States, over 600,000 reported cases of AIDS have been recorded since 1981 and it is believed that 900,000 Americans may be infected with HIV. Although development time varies from individual to individual, since 1992 scientists have estimated that roughly half of the people living with HIV will develop AIDS within 10 years of becoming infected. AIDS is growing most rapidly among minority populations, as well as women and injection drug users. According to the U.S. Centers for Disease Control and Prevention, the prevalence of AIDS is six times higher in African-Americans and three times higher among Hispanics than among whites.

How is HIV transmitted?

HIV infection most commonly occurs through sexual contact. However, the virus can also be spread through blood-to-blood contact -- such as sharing needles or blood transfusions involving unscreened blood. Studies have shown that HIV is not transmitted through casual contact such as touching or sharing towels, bedding, utensils, telephones, swimming pools, or toilet seats. Scientists have also found no evidence of transmission through kissing, sweat, tears, urine or feces. It is important to acknowledge that it is not sex that transmits HIV, but certain bodily fluids: blood, semen (including "pre-cum"), vaginal secretions and breast milk. High-risk behaviors that can result in HIV transmission are sharing needles for drugs, tattoos, body piercing, vitamins or steroids with an HIV-infected person and/or engaging in unprotected anal, vaginal or oral sex with a person who is HIV infected. The virus also can be transmitted from an HIV-infected mother to her child through pregnancy, birth or breastfeeding.

It does appear that persons already infected with a sexually transmitted disease are more susceptible to acquiring HIV during sex with an infected partner. Mucous membranes, a weak point in the skin, include the lips, mouth, vagina, vulva, penis or rectum. Because mucous membranes are porous and viruses and other pathogens are able to pass through, these areas are rich in immune cells. When a person already has a sexually transmitted disease, sex organs may be flooded with CD4+T cells, making it much easier for HIV to infect.

The only way to determine HIV infection is to be tested for the virus. It is not unusual for HIV-infected persons to experience symptoms years after the initial infection; some may be symptom free for over 10 years. However, during the asymptomatic period, the virus is actively multiplying and destroying cells in the immune system, weakening the body's ability to fight infection. The effect is most keenly observed in the decline of the immune system's key infection fighters in the blood, the CD4+T cells. There are medical treatments that can reduce the rate at which HIV disables the immune system; early detection offers more options for treatment and preventative care. As a matter of safety, people who engage in high-risk behaviors -- such as intravenous drug use or having unprotected sex with multiple partners -- should be tested regularly.

What is the distinction between HIV and AIDS?

AIDS is a disease developed by a person living with HIV, which is a viral organism. The term AIDS applies to the most advanced stages of HIV infection. Although an HIV-positive test result does not mean that a person has AIDS, most people will develop AIDS as a result of their HIV infection.

There are four main stages in the progression of an HIV infected person developing AIDS. The period following the initial HIV infection is called the window period. It is called this because this period reflects the window of time between infection with the virus and when HIV antibodies develop in the bloodstream. An HIV test that looks for antibodies taken during this time can result in a false negative, though antibodies usually appear within six months of the initial infection.

Seroconversion refers to the period of time during which your body is busy producing HIV antibodies, trying to protect itself against the virus. This is the period after the initial infection when many people experience flu-like symptoms and swollen lymph nodes – this is a highly infectious stage.

After most people seroconvert, they usually experience a symptom-free period or asymptomatic period. This stage can last anywhere from 6 months to over 10 years, varying from person to person. Although the person with HIV is experiencing no symptoms, the virus is still replicating inside the body and weakening the immune system.

After this period, severe CD4+T cell loss leads to the symptomatic period, in which the body experiences the symptoms associated with AIDS. This is the final stage before developing AIDS.

AIDS Statistics

Here are some statistics regarding the disease that plagues our friends, family, and everyone around the world.

YOUNG PEOPLE

  • During 2003 the majority of Nevadans diagnosed with HIV/AIDS were between ages 25 and 44.
  • In Washoe County, a growing number of newly diagnosed were in the 13 to 24 year old age group.
  • HIV/AIDS was the seventh leading cause of death among persons 25 to 44 years old in Nevada .

GENDER

  • By gender males account for 87% of HIV deaths
  • The death rate from HIV (5.68 per 100,000) for males was 16 times higher than that of females

AFRICAN AMERICANS

  • In Washoe County African Americans had higher rates of HIV than people of other races.
  • The black population were six and two and a half times higher than the next highest race.
  • Blacks accounted for 20% of deaths, and their death rate was more than three times that of whites.

DRUGS and ALCOHOL

  • Substance abusers accounted for one quarter of AIDS cases in the United States through June 2000.

HETROSEXUALS

  • Heterosexual contact declined slowly from 1996 - 1998 but increased through 2004
  • Heterosexual contact accounts for 8% of cumulative HIV infections in Washoe County (2005)

HOMOSEXUALS

  • Homosexual contact leveled off in 2005 in Washoe County (numbers didn't go up or down) but it still accounts for 48% of all HIV diagnoses in Washoe County

WORLD WIDE

  • 34 million people are living with HIV/AIDS
  • It is estimated that 5 million more will be diagnosed in 2008

 




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